Individual
MRS. KIRSTEN L. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS IN ED
Contact information
Practice address
4386 ZENNER RD, EDEN, NY 14057-9737
(716) 992-9735
Mailing address
4386 ZENNER RD, EDEN, NY 14057-9737
(716) 992-9735
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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